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Competency assessment

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https://www.readbyqxmd.com/read/29457915/how-good-are-we-at-selecting-students-that-meet-our-mission-outcomes-of-the-2011-and-2012-entering-classes-selected-by-a-locally-developed-multiple-mini-interview
#1
Carol A Terregino, H Liesel Copeland, Sonia Garcia Laumbach, Daniel Mehan, Dana Dunleavy, Thomas Geiger
BACKGROUND: Can a locally developed multiple mini interview (MMI) process lead to outcomes reflective of local values and mission? METHODS: In 2017, the authors performed a retrospective analysis of the relationship of MMI with multiple-choice-based outcomes and non-multiple-choice-based outcomes, including clerkship competencies, OSCE, scholarship/service/leadership, academic honor society induction, peer and faculty humanism nominations, and overall performance at graduation for two entering classes with acceptance decisions based exclusively on a locally developed MMI...
February 19, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29457810/a-computational-study-of-the-catalytic-aerobic-epoxidation-of-propylene-over-the-coordinatively-unsaturated-metal-organic-framework-fe-3-btc-2-formation-of-propylene-oxide-and-competing-reactions
#2
Thana Maihom, Montree Sawangphruk, Michael Probst, Jumras Limtrakul
The aerobic epoxidation of propylene over the metal-organic framework Fe3 (btc)2 (btc = 1,3,5-benzentricarboxylate) as catalyst has been investigated by means of density functional calculations. The mechanisms of the reaction towards propylene oxide, carbonylic products (acetone and propanal) and a pi-allyl radical were investigated to assess the efficiency of Fe3 (btc)2 for the selective formation of propylene oxide. Propylene oxide and carbonylic products are formed on Fe3 (btc)2 by proceeding via propyleneoxy intermediates in the first step...
February 19, 2018: Physical Chemistry Chemical Physics: PCCP
https://www.readbyqxmd.com/read/29457585/training-nurses-in-a-competency-framework-to-support-adults-with-epilepsy-and-intellectual-disability-the-epaid-cluster-rct
#3
Howard Ring, James Howlett, Mark Pennington, Christopher Smith, Marcus Redley, Caroline Murphy, Roxanne Hook, Adam Platt, Nakita Gilbert, Elizabeth Jones, Joanna Kelly, Angela Pullen, Adrian Mander, Cam Donaldson, Simon Rowe, James Wason, Fiona Irvine
BACKGROUND: People with an intellectual (learning) disability (ID) and epilepsy have an increased seizure frequency, higher frequencies of multiple antiepileptic drug (AED) use and side effects, higher treatment costs, higher mortality rates and more behavioural problems than the rest of the population with epilepsy. The introduction of nurse-led care may lead to improvements in outcome for those with an ID and epilepsy; however, this has not been tested in a definitive clinical trial...
February 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29457189/development-of-a-questionnaire-to-assess-nursing-competencies-for-the-care-of-people-with-psychiatric-disabilities-in-a-hospital-environment
#4
Danjun Feng, Hongyao Li, Lu Meng, Gengkun Zhong
The recovery of people with psychiatric disabilities requires high-quality nursing care. However, the existing research on the nursing competencies needed for caring for people with psychiatric disabilities have been based on a narrow competency framework. By adopting a broader competency framework, this study aimed to find the competencies needed for the nursing care of people with psychiatric disabilities in a hospital environment. Accordingly, a questionnaire will be developed to measure these competences...
February 19, 2018: Psychiatric Quarterly
https://www.readbyqxmd.com/read/29456825/multi-stakeholder-perspectives-on-access-availability-and-utilization-of-emergency-obstetric-care-services-in-lagos-nigeria-a-mixed-methods-study
#5
Aduragbemi Banke-Thomas, Kikelomo Wright, Olatunji Sonoiki, Onaedo Ilozumba, Babatunde Ajayi, Olawunmi Okikiolu, Oluwarotimi Akinola
Globally, Nigeria is the second most unsafe country to be pregnant, with Lagos, its economic nerve center having disproportionately higher maternal deaths than the national average. Emergency obstetric care (EmOC) is effective in reducing pregnancyrelated morbidities and mortalities. This mixed-methods study quantitatively assessed women's satisfaction with EmOC received and qualitatively engaged multiple key stakeholders to better understand issues around EmOC access, availability and utilization in Lagos...
December 31, 2017: Journal of Public Health in Africa
https://www.readbyqxmd.com/read/29456598/-it-s-learned-on-the-job-and-it-depends-who-you-re-with-an-observational-qualitative-study-of-how-internal-jugular-cannulation-is-taught-and-learned
#6
Clifford L Shelton, Maggie M Mort, Andrew F Smith
Internal jugular cannulation may lead to serious complications. Ultrasound guidance is advocated; however, procedural complications remain a concern. Inconsistent education may be in part responsible for this. This study examined how internal jugular cannulation is taught and learned. An ethnographic approach was used in two acute hospitals. Methods comprised interviews, observations and focus groups. An inductive thematic analysis was undertaken. Three themes were identified: apprenticeship , trust and reciprocity...
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456428/strategies-to-improve-prevention-and-management-in-diabetic-retinopathy-qualitative-insights-from-a-mixed-methods-study
#7
Richard S Beaser, Wendy A Turell, Alexandra Howson
Nonproliferative and proliferative diabetic retinopathy (DR) are common, progressive complications of diabetes with a rising incidence. Over time, patients with nonproliferative DR may progress to more advanced stages of DR, with an increased risk of vision-threatening conditions such as diabetic macular edema (DME). DME is the most frequent cause of vision loss in patients with diabetes and eventually can lead to blindness. Early-stage DR is asymptomatic; therefore, a coordinated management strategy is crucial to prevent or limit the progression of DR...
February 2018: Diabetes Spectrum: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/29456185/human-ips-derived-astroglia-from-a-stable-neural-precursor-state-show-improved-functionality-compared-with-conventional-astrocytic-models
#8
Anders Lundin, Louise Delsing, Maryam Clausen, Piero Ricchiuto, José Sanchez, Alan Sabirsh, Mei Ding, Jane Synnergren, Henrik Zetterberg, Gabriella Brolén, Ryan Hicks, Anna Herland, Anna Falk
In vivo studies of human brain cellular function face challenging ethical and practical difficulties. Animal models are typically used but display distinct cellular differences. One specific example is astrocytes, recently recognized for contribution to neurological diseases and a link to the genetic risk factor apolipoprotein E (APOE). Current astrocytic in vitro models are questioned for lack of biological characterization. Here, we report human induced pluripotent stem cell (hiPSC)-derived astroglia (NES-Astro) developed under defined conditions through long-term neuroepithelial-like stem (ltNES) cells...
February 9, 2018: Stem Cell Reports
https://www.readbyqxmd.com/read/29455253/incorporation-of-the-fluoroless-c-arm-trainer-at-the-american-urological-association-hands-on-training-percutaneous-renal-access
#9
Yasser A Noureldin, David M Hoenig, Philip Zhao, Sammy E Elsamra, Joshua Stern, Geoffrey Gaunay, Piruz Motamedinia, Zeph Okeke, Ardeshir R Rastinehad, Robert M Sweet
OBJECTIVES: To assess for usefulness and validity evidence for incorporating the C-Arm Trainer (CAT) simulator into the annual AUA hands on course for training percutaneous nephrolithotomy (PCNL). MATERIALS AND METHODS: The course started with a didactic session followed by four stations for training the "bull's eye" technique using the CAT simulator. Each station included a pre-test, 30-min practice on the simulator, and post-test. All participants were assessed using a 4-item checklist...
February 17, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29455161/assessing-factors-associated-with-long-term-work-disability-after-cancer-in-belgium-a-population-based-cohort-study-using-competing-risks-analysis-with-a-7-year-follow-up
#10
Régine Levo Kiasuwa Mbengi, Alina Mioara Nicolaie, Els Goetghebeur, Renee Otter, Katrien Mortelmans, Sarah Missinnne, Marc Arbyn, Catherine Bouland, Christophe de Brouwer
OBJECTIVES: The number of workers with cancer has dramatically increasing worldwide. One of the main priorities is to preserve their quality of life and the sustainability of social security systems. We have carried out this study to assess factors associated with the ability to work after cancer. Such insight should help with the planning of rehabilitation needs and tailored programmes. PARTICIPANTS: We conducted this register-based cohort study using individual data from the Belgian Disability Insurance...
February 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29455151/nutrient-management-via-struvite-precipitation-and-recovery-from-various-agroindustrial-wastewaters-process-feasibility-and-struvite-quality
#11
Raffaele Taddeo, Mari Honkanen, Kari Kolppo, Raghida Lepistö
Improving environmental protection and finding sustainable and renewable resources of nutrients are core issues in circular bioeconomy. Thus, this study evaluated the efficiency of recovering struvite, MgNH4 PO4 ·6H2 O, from different agro-industrial wastewaters (four highly loaded reject waters of anaerobically co-digested agro-industrial waste and a raw swine slurry) and assessed the quality of recovered struvite crystals and their reusability as fertilizer. The efficiency of crystallization (Ec 40-80%) and amount of struvite in the precipitate (Pp 55-94%) highly varied due to the characteristics of influent wastewaters, particularly to the content of competing elements, such as alkaline and heavy metals and total solids (TS)...
February 15, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29454526/predicting-sexual-problems-in-young-adults-with-an-anorectal-malformation-or-hirschsprung-disease
#12
M J Witvliet, S van Gasteren, D van den Hondel, E Hartman, Lwe van Heurn, Afw van der Steeg
AIM: The aim of this study was to examine the prevalence of sexual dysfunction and distress and to assess whether sexual functioning could be predicted by psychosocial factors in childhood and adolescence in patients with an anorectal malformation or Hirschsprung disease. MATERIAL AND METHODS: In 1998 patients completed a psychosocial questionnaire: The Self-Perception profile. To assess the prevalence of sexual distress and sexual functioning in adulthood (2015) the Female Sexual Function Index (FSFI), The Female Sexual Distress Scale (FSDS) and the International Index of Erectile Functioning (IIEF) were used...
January 31, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29452416/early-and-midlife-predictors-of-wisdom-and-subjective-well-being-in-old-age
#13
Monika Ardelt, Kathryn R Gerlach, George E Vaillant
Objectives: We explored whether wisdom and well-being in old age are the result of early personality traits related to personality growth or personality adjustment, respectively, or successful human development as outlined by Erikson's stage theory and the life course paradigm. Method: Structural equation models were applied to analyze 60-year longitudinal data of 98 white male Harvard graduates born between 1915 and 1924. Different sets of judges rated the men's childhood and adolescence, early adult personality, and midlife generativity...
February 14, 2018: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/29451947/a-wild-bootstrap-approach-for-the-aalen-johansen-estimator
#14
Tobias Bluhmki, Claudia Schmoor, Dennis Dobler, Markus Pauly, Juergen Finke, Martin Schumacher, Jan Beyersmann
We suggest a wild bootstrap resampling technique for nonparametric inference on transition probabilities in a general time-inhomogeneous Markov multistate model. We first approximate the limiting distribution of the Nelson-Aalen estimator by repeatedly generating standard normal wild bootstrap variates, while the data is kept fixed. Next, a transformation using a functional delta method argument is applied. The approach is conceptually easier than direct resampling for the transition probabilities. It is used to investigate a non-standard time-to-event outcome, currently being alive without immunosuppressive treatment, with data from a recent study of prophylactic treatment in allogeneic transplanted leukemia patients...
February 16, 2018: Biometrics
https://www.readbyqxmd.com/read/29451733/an-overview-of-leadership-competencies-and-assessment-considerations
#15
Bill Smedick, Eric Rice
This chapter provides an overview of leadership competencies and ways in which colleges and universities can use competency assessment as a tool for current leadership education offerings to assist professionals in revising and expanding programming to better enable their students to become career ready.
March 2018: New Directions for Student Leadership
https://www.readbyqxmd.com/read/29451056/epidemiology-of-injuries-in-portuguese-senior-male-rugby-union-sevens-a-cohort-prospective-study
#16
Antonio Miguel Cruz-Ferreira, Eduardo Miguel Cruz-Ferreira, João Diogo Silva, Ricardo Maia Ferreira, Luiz Miguel Santiago, Luis Taborda-Barata
OBJECTIVES: To assess the incidence, type and location of injuries sustained during the Portuguese rugby union sevens circuit. To investigate the influence of players' training loads on injury risk. METHODS: A prospective cohort study recording time-loss injuries was conducted with all teams competing in the Portuguese national rugby sevens circuit (eight from the top-tier and seven from the second-tier). Main outcome measures included: incidence rate, anatomical location, type, injury incident and severity...
February 16, 2018: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29450991/mass-spectrometry-based-fast-photochemical-oxidation-of-proteins-fpop-for-higher-order-structure-characterization
#17
Ke Sherry Li, Liuqing Shi, Michael L Gross
Assessment of protein structure and interaction is crucial for understanding protein structure/function relationships. Compared to high-resolution structural tools, including X-ray crystallography, nuclear magnetic resonance (NMR), and cryo-EM, and traditional low-resolution methods, such as circular dichroism, UV-vis, and florescence spectroscopy, mass spectrometry (MS)-based protein footprinting affords medium-to-high resolution (i.e., regional and residue-specific insights) by taking advantage of proteomics methods focused on the primary structure...
February 16, 2018: Accounts of Chemical Research
https://www.readbyqxmd.com/read/29450881/a-comparative-description-of-perceived-stress-and-coping-strategies-among-psychology-and-nonpsychology-students-in-the-united-arab-emirates
#18
Zahir Vally, Brettjet L Cody, Safeya N M Alsheraifi, Maryam A Albloshi
PURPOSE: This study describes perceived stress and coping strategies as they occur within a college-aged population from an Arab background. Variables were compared between psychology students and their peers from other faculties. DESIGN AND METHODS: A cross-sectional, correlational design was used for this study. A total of 114 students completed the Brief COPE questionnaire, the Perceived Stress Scale, and a measure of our own design to assess sources of psychosocial support...
February 16, 2018: Perspectives in Psychiatric Care
https://www.readbyqxmd.com/read/29450447/interplay-among-psychopathologic-variables-personal-resources-context-related-factors-and-real-life-functioning-in-individuals-with-schizophrenia-a-network-analysis
#19
Silvana Galderisi, Paola Rucci, Brian Kirkpatrick, Armida Mucci, Dino Gibertoni, Paola Rocca, Alessandro Rossi, Alessandro Bertolino, Gregory P Strauss, Eugenio Aguglia, Antonello Bellomo, Martino Belvederi Murri, Paola Bucci, Bernardo Carpiniello, Anna Comparelli, Alessandro Cuomo, Domenico De Berardis, Liliana Dell'Osso, Fabio Di Fabio, Barbara Gelao, Carlo Marchesi, Palmiero Monteleone, Cristiana Montemagni, Giulia Orsenigo, Francesca Pacitti, Rita Roncone, Paolo Santonastaso, Alberto Siracusano, Annarita Vignapiano, Antonio Vita, Patrizia Zeppegno, Mario Maj
Importance: Enhanced understanding of factors associated with symptomatic and functional recovery is instrumental to designing personalized treatment plans for people with schizophrenia. To date, this is the first study using network analysis to investigate the associations among cognitive, psychopathologic, and psychosocial variables in a large sample of community-dwelling individuals with schizophrenia. Objective: To assess the interplay among psychopathologic variables, cognitive dysfunctions, functional capacity, personal resources, perceived stigma, and real-life functioning in individuals with schizophrenia, using a data-driven approach...
February 14, 2018: JAMA Psychiatry
https://www.readbyqxmd.com/read/29448854/mental-health-care-providers-talk-about-their-experiences-preventing-suicide-in-people-with-substance-use-disorders-in-south-africa-implications-for-clinical-practice
#20
Daniel Goldstone, Jason Bantjes
OBJECTIVE: This study explored mental health care providers' experiences of preventing suicide in people with substance use disorders and their perceptions of factors related to clinical practice that contributed to these experiences. METHODS: In-depth, semistructured interviews were conducted with 18 mental health care providers working in South Africa. Thematic analysis was used to analyse the data inductively with Atlas.ti software. RESULTS: Participants described feeling hopeless, helpless, powerless and guilty and needed to debrief from their experiences of preventing suicide...
February 15, 2018: International Journal of Psychiatry in Clinical Practice
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